Nursing home · Steele, MO
River Oaks Care Center
1001 North Walnut, Steele, MO 63877 · 90 certified beds · for profit ownership · part of Circle B Enterprises
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Aug 8, 2025, when they cited 5 problems. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 5 are marked corrected in the CMS data. At its most recent standard inspection (Aug 8, 2025) it had 5 citations, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.40 hours per resident per day here, about the same as the Missouri average (3.43) and 12% less than the U.S. average (3.86). Registered nurses account for 0.34 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 61% over the past year, 5 points higher than Missouri (56%) and 15 points higher than the U.S. (46%).
How River Oaks Care Center compares
This home's latest CMS figures next to the averages for Dexter-area homes (15), Missouri (487) and the U.S. (14,680).
| This home | Dexter area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.40 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.34 | 0.46 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.03 | 3.07 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 61% | 51% | 56% | 46% |
| Registered nurse turnover (past year) | 40% | 41% | 48% | 43% |
| Citations at the most recent standard inspection | 5 | 5.0 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 15 of 15 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Aug 8, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | E | Deficient, Provider has date of correction |
| Aug 8, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Aug 8, 2025 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 8, 2025 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Aug 8, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | D | Deficient, Provider has date of correction |
| Nov 20, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Nov 20, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Aug 16, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Aug 16, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 16, 2024 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 16, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | D | Deficient, Provider has date of correction |
| Aug 16, 2024 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| May 4, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | E | Deficient, Provider has date of correction |
| May 4, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| May 4, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Nov 20, 2024 | Fine | $41,389 |
Location
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Reviews
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Questions about River Oaks Care Center
Answers computed from CMS data for this facility.
What is River Oaks Care Center's Medicare rating?
Medicare rates River Oaks Care Center 3 out of 5 stars overall (average). The average for Dexter-area nursing homes is 3.7, for Missouri 2.51 and for the U.S. 2.99.
How did River Oaks Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Aug 8, 2025, when they cited 5 problems. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 5 are marked corrected in the CMS data. At its most recent standard inspection (Aug 8, 2025) it had 5 citations, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.
Has River Oaks Care Center been fined?
Yes. CMS reports 1 fine totaling $41,389 in the past three years.
Does River Oaks Care Center accept Medicaid?
River Oaks Care Center is certified for both Medicare and Medicaid. Call (573) 695-2121 to ask whether a Medicaid bed is open.
Other nursing homes near Steele
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.